IndividualActive
Peter Martin
NPI 1194857532 · Medical Physician Assistant · Tekoa, WA
Provider details
- NPI number
- 1194857532
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 025211PA10000093 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
N. 115 Crosby
Tekoa, WA 99033-0629
Phone: (509) 284-2423
Fax: (509) 284-3434
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 629
Tekoa, WA 99033-0629
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2013-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.